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No. Owner or �c,'ff��>� ✓ ��t�� .��� �L�X l£+ F/T6�/7�� J� f'�1'f �� 1Ah, (.-���.7: 7 6�`'�''�J . Lessee Builder's License No. Contractor , L- 3. Architect or m -- Engineer I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to make this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction. Signature of applicant Address �y Application date 00 NOT WRITE ELOW THIS LINE v V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By y Date Plans B Notes 9 Fee Started Approved BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Date Permit or Approval Check Obtained Number By Permit or Approval Check Obtained Number By BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER VII. VALIDATION Building Permit number Building Permit issued 19 Z Building /,,!� LIj Permit Fee Certificate of Occupancy S Approved by: Drain Tile �a Plan Review Fee TITLE Cf its of Nort4autpton Anseadptsetts Office of theIns}rectox ofuilDittgs APPLICATION FOR ZONING PERMIT AND Page T.` Plot BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. p ZONING I• AT (LOCATION) 7-0 le- �,/' �� �S�T� DISTRICT LOCATION (NO.) (STREET) OF BETWEEN �/ / 119AAt S /? AND BUILDING (CROSS STREET) / (CROSS STREET) / LOT C/ -1 /� � J� SUBDIVISION LOT � BLOCK SIZE , ' /T' '/S c II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D :00 M A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m 1 ❑ New building Residential Nonresidential Addition(If residential, enter number 12�One family 18 ❑ Amusement, recreational of new housing units added, if any, in Part D, 13) 13 Two or more family — Enter 19 ❑ Church, other religious number of units— — — — --)� 20❑ Industrial \\) 3 ❑ Alteration (See 2 above) 14 ❑ Transient hotel, motel, 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory — Enter number 5 ❑ Wrecking (If multifamily residential, of units ——————— — --� 22 ❑ Service station, repair garage enter number of units in building in 15❑ Garage 23 ❑ Hospital, institutional Part D, 13) 16 ❑ Carport 24❑ Office, bank, professional 6 ❑ Moving (relocation) 17❑ Other — SpeciJy 25 ❑ Public utility 7 ❑ Foundation only 26 ❑ School, library, other educational B. OWNERSHIP 27 ❑ Stores, mercantile 8 dPrivate (individual, corporation, 28 ❑ Tanks, towers nonprofit institution, etc.) 29❑ Other — Specify 9 ❑ Public (Federal, State, or local government) �r C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g.,food y processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement,,,••,,,••...... `0Of-) school, secondary school, college, parochial school, parking garage for, department store, rental office building, office building at industrial plant. To be installed but not included If use of existing building is being changed, enter proposed use. in the above cost a. Electrical..................... b. Plumbing ..................... c. Heating, air conditioning.......... d. Other (elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part J, for all others skip to IV. y Q E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS _ m 48. Number of stories............... fi 30❑Masonry (wall bearing) 40 ❑ Public or private company 31 Wood frame 41 Private (septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior 32❑ Structural steel dimensions ................... 33❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34 ❑ Other — Specify 42 ❑ Public or private company 50. Total land area, sq. ft. ........... 43� Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 51. Enclosed ....................... 1" F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL O 52. Outdoors........................ 35 71 Gas Will there be central air 36�Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 ❑ Electricity 44❑ Yes 45 KNo 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other — Specify Will there be an elevator? 54. Number of Full.......... 46 ❑ Yes 47 No bathrooms Partial........ € ..,. � � ��� An r y � s K pF¢� jut +' N'4 � r 1 ¢ n t � .. , nu. { hereby certify that the proposed 'work is authorized by-the .owner of record and I have been authorized by the owner to make this application as his authorized agent. SIGNATURE OF AGENT ADDRESS (NUMBER) (STREET) (Cl TY) APPROVED BY TITLE DATE 19 DEPT. FILE COPY ZO ._ clhTY OF NORTHAMPTON BUILDING jo NORTHAMPTON, MA. 01060 34-5 PERMIT LIDATION DATE June $, 19 78 P RMIT NO. 213 APPLICANT Richard A. florid ADDRESS Turkey Hill Rd. (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO Addition '110 ReSld1 (_,.]_k STORY Residence DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) Turkey Hill Road _ o STR cT (NO. )(STREET) a BETWEEN West Farms Road AND 10 (CROSS STREET) (CROSS STREET) LOT 4.2 Acres 0. SUBDIVISION LOT BLOCK SIZE m a O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION O M 2 TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: Addition to Bldg. Permit #113 issued 6-10-75 -- AREA ESTIMATED COST $ 3,0 00 FEE MIT 10.00 VOLUME E (CUBIC/SQUARE FEET) OWNER Richard A. Bond BUI ING T. �AY ADDRESS P.O. Box 86, Easthampton. Ma. By (Affidavit on reverse side of application to be completed by autho ' agent of owner)